Examining Traumatic Brain Injury as a Chronic Condition Proceedings of a Workshop (2025) / Chapter Skim
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1 Introduction
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. • Classifying TBI as a chronic condition can improve health care under standing and delivery, enhance public health surveillance, and expand access to insurance coverage and neurologically informed care (Corrigan, Harris)
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2 Harris noted that since its establishment in 2022, the Forum on Traumatic Brain Injury has worked to advance discussion and foster action on TBI prevention, care, and research and has held workshops on topics including TBI biomarkers, follow-up care systems, examples of technical innovations to address TBI needs, the importance of health data integration, and the issue of TBI among older adults. Information on the Forum is available at www.nas.edu/TBIForum.
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The second day centered on identifying examples of actionable strategies for improving care and advancing research, with sessions examining chronic care models, opportunities for care enhancements, and research priorities. A key element of the workshop, as emphasized by Harris, was the inclusion of video narratives from individuals living with chronic TBI symptoms.
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Evidence for TBI as a Chronic Condition Using longitudinal data from the TBI Model Systems National Database and studies like TRACK-TBI, Corrigan presented data showing that people with both mild and moderate-to-severe TBIs show dynamic outcomes over many years. Successive assessments of a cohort of people diagnosed with moderate to severe TBI and followed through the TBI Model systems program showed that although functional outcome scores between assessment periods (such as year 1 to year 2 or year 5 to year 10)
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measures over time in people diagnosed with mild TBI. SOURCE: Presented by John Corrigan, March 11, 2025.
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, which often provide expanded services for chronic conditions, this recognition opens the door for enhanced insurance coverage and care access for people with TBI, he emphasized. Corrigan noted that MCOs often add services for vulnerable populations, arguing that chronic brain injury merits inclusion on lists of chronic conditions to ensure that individuals receive comprehensive care tailored to their evolving needs.
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provided an opportunity to further explore how long-term outcomes after TBI reflect an intersection with preexisting factors or comorbidities, the environmental and social context of injury, the aging process, an individual's lifetime history of exposure, and other dimensions that affect how a person recovers -- highlighting the importance of TBI studies that include pre-injury health and social information. Integrating Chronicity with Brain Health Promotion Corrigan concluded by calling for a shift in perspective, advocating that TBI be recognized as a chronic condition and treated accordingly by health care professionals.
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2024. Neuroimaging and clinical findings in healthy middle-aged adults with mild traumatic brain injury in the PREVENT dementia study.
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